| NPI | 1437650660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-08-05 |